| Michelle Vanblaricom, APRN | |
| 
					614 E Emma Ave Ste 300, Springdale, AR 72764-4469  | |
| (479) 751-7417 | |
| (479) 751-2878 | 
| Full Name | Michelle Vanblaricom | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Primary Care | 
| Location | 614 E Emma Ave Ste 300, Springdale, Arkansas | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1891544888 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163WN0300X | Registered Nurse - Nephrology | R096821 (Arkansas) | Secondary | 
| 363LP2300X | Nurse Practitioner - Primary Care | 228738 (Arkansas) | Primary | 
| Entity Name | St. Francis House Nwa, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1821838996 PECOS PAC ID: 0042262495 Enrollment ID: O20090526000134  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Michelle Vanblaricom, APRN 2902 Driftwood Ln, Rogers, AR 72756-1729 Ph: (870) 480-9953  | Michelle Vanblaricom, APRN 614 E Emma Ave Ste 300, Springdale, AR 72764-4469 Ph: (479) 751-7417  | 
Scarlett Vanessa Grandy, CNM, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 614 E Emma Ave Ste 300, Springdale, AR 72764 Phone: 479-751-7417  | |
Scott Grigg, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4301 Greathouse Springs Rd, Springdale, AR 72762 Phone: 479-684-3132 Fax: 479-684-3098  | |
Andrew Long, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 609 W Maple Ave, Springdale, AR 72764 Phone: 479-751-5711  | |
Kaylee M Armendariz, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2878 Powell St, Springdale, AR 72764 Phone: 479-872-3045 Fax: 479-419-5947  | |
James Robert Feher, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4077 Elm Springs Rd Ste 105, Springdale, AR 72762 Phone: 479-927-2100  | |
Kelsey Breanne Gay, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2988 W Huntsville Ave Ste C, Springdale, AR 72762 Phone: 479-250-4849  | |
Stephanie Burks, FNP-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 210 S Thompson St Ste 4a, Springdale, AR 72764 Phone: 479-445-9900  |